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Published by: Jimbelle Alabastro Uy on Jan 16, 2012
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Name of the Patient: John Nhel Boongaling Age: 8 years old Gender: Male Generic name Paracetamol 250mg

/5mL 5mL q4O prn for fever Brand name Opigesic Specific action / mechanism of action Antipyretic - reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation & sweating which helps dissipate heat.

Cc: on and off fever for 4 days, and abdominal pain Dx: Possible Dengue Hemorrhagic Fever

Indication For fever

Adverse reaction Headache, chest pain, dyspnea, and rash

Prevacid 1 tab now


Chloromycetin succinate injection 285mg q6 IV ANST() in 10mL of D5W in soluset on side drip x 30 min


Proton pump inhibitor - Gastric pump inhibitor: suppresses gastric acid secretion by specific inhibiton of the hydrogen-potassium ATPase enzyme system at the secretory surface of the gastric parietal cells; blocks the final step of acid production Antibiotic - Bactericidal: Inhibits synthesis of bacterial cell wall, causing cell death


Short-term duodenal ulcer


Headache, dizziness Rash Abdominal pain, diarrhea, nausea, vomiting, dry mouth

Nursing responsibilities/ route of administration - ORAL - Monitor temperature every 30min - instruct to report rash, mucosal bleeding or bruising - keep out of reach of children - do not administer without doctor s order/ prescription - ORAL - Administer before meals. Caution patient to swallow capsules whole not to open, chew or crush. - Report severe diarrhea, worsening symptoms, fever, chills.

Serious infection


headache, dizziness, lethargy, paresthesias pseudomembranous colitis Bone marrow depression ( decreased WBC, decreased platelets, decreased Hct) Hepatic toxicity Nephrotoxicity Ototoxicity -


Parenteral Monitor laboratory results, especially CBC.

Gentamicin Sulfate

Servigenta INS 115mg SIVP OD ANST (-) prn

Aminoglycoside - Bactericidal: Inhibits protein synthesis in susceptible strains of gram-negative bacteria; appears to disrupt functional integrity of bacterial cell membrane , causing cell death

GI, Biliary tract infections


Oral Monitor serum concentrations when feasible to avoid potentially toxic levels. Peak levels should not exceed 12mcg/ mL.

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